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General NPI Number Information
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NPI Number | 1790875086
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Entity Type | Organization
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Legal Business Name | AMARISH KAPASI PC
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Dates
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Enumeration Date | 10/15/2006
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Last Update Date | 06/05/2008
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Provider Practice Location Address
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Address Line | 2542 TWILIGHT VW
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City | SNELLVILLE
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State | GA
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Zip | 30078-7722
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Country | US
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Telephone | 770-667-1077
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Fax | 770-667-9026
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Provider Business Mailing Address
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Address Line | 2542 TWILIGHT VW
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City | SNELLVILLE
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State | GA
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Zip | 30078-7722
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Country | US
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Telephone | 770-667-1077
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Fax | 770-667-9026
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Authorized Official
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Title or Position | MANAGER
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Name | JOI FARLOUGH
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Credential |
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Telephone | 770-667-1077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 054759
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License Number State | GA
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